Which Nostril Should be Used for Nasotracheal Intubation With Airtraq NT®: the Right or Left? A Randomized Clinical Trial

Kocaeli University

Status: Completed

Conditions: Nasotracheal Intubation

Treatments: Device: Airtraq NT

Study type: Interventional

Funder types: Other

Identifiers

NCT03226002

KÜ GOKAEK 2017/71

Details and patient eligibility

About

After Ethics committee approval investigators decided to enroll 40 patients ASA I-II, 18-60 years of age undergoing maxillofascial, oral and double chin surgery to determine which nostril is more suitable for nasotracheal intubation with nasotracheal Airtraq. We primay aimed to compare the glottis visualization time, intubation time and total intubation times.

Full description

After Ethics committee approval, investigators decided to enroll 40 pateints ASA I-II, 18-60 years of age undergoing maxillofascial, oral and double chin surgery to determine which nostril is more suitable for nasotracheal intubation with nasotracheal Airtraq. In addition is the 90° anti-clockwise rotation of the tip of the tube helpful to insert the tube into the trachea. Patients were randomized into right and the left nostril groups. After standard anesthesia induction with propofol and fentanyl, rocuronium was used for muscle relaxation. Primary aim of this prospective study was to compare the glottis visualization time, intubation time and total intubation times. The Cormack-Lehane grades, the need for optimization, tube adjustment maneuvers, hemodynamic data, occurrence of epistaxis of the patients were recorded during the process.

Enrollment: 35 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 18-65 years of age
• undergoing elective maxillofacial surgery
• dental surgery
• plastic surgery requiring nasotracheal intubation
• ASA I-II

Exclusion criteria

• >18 years and > 65 years
• BMI> 35
• ASA III-IV
• fasted patients
• patients do not require nasotracheal intubation

Trial design

Primary purpose: Diagnostic

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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35 participants in 2 patient groups

Airtraq NT right nostril

Active Comparator group

Description:

nasotracheal intubation with Airtraq NT through the right nostril

Treatment:

Device: Airtraq NT

Airtraq NT left nostril

Active Comparator group

Description:

nasotracheal intubation with Airtraq NT through the left nostril

Treatment:

Device: Airtraq NT